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HomeMy WebLinkAboutNCC220177_NOI Application_20220110Action History (UTC-05:00) Eastern Time (US & Canada) Submit by Anonymous User 1/7/2022 10:18:20 AM (NCG01 NOI Submission) Approve by Broussard, Brooklyn C 1/7/2022 10:58:42 AM (Review - Construction NOI 77817) • The task was assigned to Broussard, Brooklyn C by round robin distribution 1/7/2022 10:18 AM • The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: January 11, 2022 5:00 PM 1/7/2022 10:18 AM Submit by Morman, Alaina 1/10/2022 11:33:56 AM (Payment Verification for NCC220177) P Charles J. Kieler • Morman, Alaina assigned the task to Morman, Alaina 1/10/2022 11:33 AM The task was assigned to DEMLR NCG01 Payment Team. The due date is: February 18, 2022 5:00 PM 1/7/2022 10:58 AM NORTH CAROLINA Rrf Omrlm&tral Qualrly A. Project Information Part A. Project Location and Waterbody Information ............................................................................................................................................................................................................................................................................................................................................................................................... Are you submitting No an NOI that was • Yes rejected before? Previous Rejected 77814 NOI No. Prior Reviewer Name Brooklyn Broussard la. Project Name* Rainbow Drive Townhomes 1 b. Specific Lot This field may be used to list specifc lot numbers. Numbers 1 c. Parcel ID List all PINS associated with this project. Number(s) (PIN) 5603-98-6771 5613-18-0678 2. County* Cabarrus 3. Highway or Street 1408 Rainbow Drive Address* Street name only is acceptable if no address number assigned yet 4. City or Township* Kannapolis 5. State* NC 6. Zip Code* 28081 7. Latitude* Enter the latitude in decimal degrees 35.4940 8. Longitude* Enter the longitude in decimal degrees (MUST be negative) -80.6480 If you do not know the latitude and longitude coordinates for this project, you can search the location on this map of North Carolina. Look for the coordinates in the bottom left corner. 9. Date to Begin* 02/01/2022 Estimated Construction Project Start Date 10. Date to End* 02/01/2024 Estimated Construction Project End Date 11. SIC (Primary)* Residential, Other than SFE (1522) Standard Industrial Classification for Development 12. Acres to be 13.95 disturbed* (including off -site borrow and waste areas) 13. Total site area 35.41 (acres)* 14. Post -construction 5.24 impervious area (Estimated) (acres) * Project Tracking ID NCC-CABAR-2022-Rainbow Drive Townhomes Assigned automatically (not used) Below you must enter waterbody information for surface waters affected by this project. Please consult DWR's Surface Water Classifications Map Viewer to find waterbody name and corresponding index number. Please enter only immediate receiving waterbodies - not waters downstream of those unless the project extends there. You may enter up to 3 waterbodies if needed. 15a. Receiving Irish Buffalo Creek Waterbody * Name of waterbody into which stormwater runoff will discharge 15b. Waterbody Index 13-17-9-(2) No. * NC Waterbody Index Number Stormwater No discharges will flow Yes to additional waters* 16a. Is this project Yes subject to the NC No, not subject to INC SPCA Sediment Pollution Control Act?* B. Permittee Information Part B. Permittee Information - Legally Responsible Entity and Individual ........................................................................................................................................................................ Important: The person who signs the NOI Certification Form and signs the Certification in Section E of this application form must be the same person as listed in THIS SECTION, or an authorized responsible individual within the same organization. That person must be a responsible corporate officer who owns or operates the construction activity, such as a president, secretary, treasurer, or vice president, or a manager that is authorized in accordance with Part IV, Section B, Item (6) of the NCGO10000 General Permit. For more information on signatory requirements, see Part IV, Section B, Item (6) of that permit. 1. Permittee* Legally Responsible Entity Westbrook Kannapolis LLC If permittee is an individual, enter first and last name in this field. Otherwise, enter organization/business name. Note: If the permittee is a business, the business must be registered with the NC Secretary of State. You can verify the registration here. Permittee must be the same entity that is responsible for the land -disturbing activity as listed on the NC SPCA Financial Responsibility/Ownership (FRO) Form. 2. First Name* Charles If Corporation, enter Registered Agent First Name 3. Last Name* Kieler If Corporation, enter Registered Agent Last Name 3b. Title Member and Manager 4. Permitee E-mail ckieler@cardinaldevgrp.com Address* 5. Permittee 571-239-0615 Telephone No.* 6. Permittee Mailing Street Address Address* 8320 Judy Witt Lane Address Line 2 City State / Province / Region Vienna VA Postal / Zip Code Country 22182 United States Check box if the Yes street address the same as mailing address 7. Permittee Street Street Address Address* 8320 Judy Witt Lane Address Line 2 City State / Province / Region Vienna VA Postal / Zip Code Country 22182 United States 8. Type of Ownership is only individual if an individual is named in B.1. above. Ownership* Non -Government C. Site Contact Information Part C. Project Site Contact Information ................................................................................................................................................................................................................................................................................................................................................................................................. 1. Primary Site Charles Contact - First Name* 2. Primary Site Kieler Contact - Last Name* 3. Title Member and Manager 4. Site Contact E-mail ckieler@cardinaldevgrp.com Address* 5. Site Contact 571-239-0615 Telephone No.* 6. Organization Name Westbrook Kannapolis LLC 7. Site Contact Street Address Mailing Address* 8320 Judy Witt Lane Address Line 2 City Vienna Postal / Zip Code 22182 8. Consultant Name (optional) Andrew Grant First and Last name 9. Consultant E-mail agrant@bgeinc.com This person will be copied on all correspondence. 10. Consultant 980-220-2322 Telephone No. 11. Billing E-mail (For Annual Fee correspondence) ckieler@cardinaldevgrp.com Default is legally responsible person e-mail 12. Billing Telephone (For Annual Fee correspondence) 571-239-0615 Default is legally responsible person telephone State / Province / Region VA Country United States D. E&SC Plan Part D. Erosion & Sediment Control (E&SC) Plan Approval Information 1. Date E&SC Plan 12/13/2021 Approved * 2. E&SC Plan Project CABAR-2022-035 Number/ID* Assigned by agency or local program 3. E&SC Plan State DEQ Office Approved by* Local Program 4. State DEQ Office* Mooresville (MRO) Documentation of E&SC Plan approval and the signed Notice of Intent (NOI) Certification Form is required for a complete application. Please also upload a site map showing the overall extent of the project (for linear projects, can include the beginning point and end point coordinates in the "Notes" box below). 5. E&SC Plan 1 - DEQ approval 12.13.2021.pdf 1.58MB Approval letter or Must be PDF format Grading Permit 6. Signed FRO Financial Responsibility/Ownership Form 2 - Executed FRO.pdf 159.45KB Must be PDF format 7. Site Location Map Must be PDF format (limit 20 MB) 3 - E-NOI Location Map.pdf 77.87KB Please do not upload entire set of E&SC plans. 8. Notes (Optional) Provide any additional information that might help the reviewer better understand how uploaded documents support the application. Include additional waterbodies if necessary. 9. NOI Certification 4 - E-NOI Certification Form.pdf 811.95KB Form Must be PDF format This is an Express • No Review Project* Yes E. Certification North Carolina General Statute 143-215.613 (i) provides that: Any person who knowingly makes any false statement, representation, or certification in any application, record, report, plan, or other document filed or required to be maintained under this Article or a rule implementing this Article; or who knowingly makes a false statement of a material fact in a rulemaking proceeding or contested case under this Article; or who falsifies, tampers with, or knowingly renders inaccurate any recording or monitoring device or method required to be operated or maintained under this Article or rules of the Commission implementing this Article shall be guilty of a Class 2 misdemeanor which may include a fine not to exceed ten thousand dollars ($10,000). Under penalty of law, I certify that: * I am the person responsible for the construction activities of this project, for satisfying the requirements of this permit, and for any civil or criminal penalties incurred due to violations of this permit. * The information submitted in this NOI is, to the best of my knowledge and belief, true, accurate, and complete based on my inquiry of the person or persons who manage the system, or those persons directly responsible for gathering the information. * I will abide by all conditions of the NCG010000 General Permit and the approved Erosion and Sediment Control Plan. * I hereby request coverage under the NCG010000 General Permit and understand that coverage under this permit will constitute the permit requirements for the discharge(s) and is enforceable in the same manner as an individual permit. Specify if you are:* The Legally Responsible Person named on this Notice of Intent Authorized Responsible Person' (signing on behalf of Legally Responsible Person named in Part B) Important: The person who electronically signs this Certification above must be the same person who signs the NOI Certification Form. If that person is signing on behalf of the Permittee, that individual must be an authorized responsible person within the same organization as the Permittee. *An authorized individual is a responsible corporate officer who owns or operates the construction activity, such as a president, secretary, treasurer, or vice president, or a manager that is authorized in accordance with Part IV, Section B, Item (6) of the NCG010000 General Permit. For more information on signatory requirements, see Part IV, Section B, Item (6) of that permit. Signature G,/-''r1114'9z� Type Name* Charles Kieler Title Member and Manager Organization Legally Responsible Entity Westbrook Kannapolis LLC Date * 01 /07/2022 F. Tracking and COC Info NOI Tracking No. 77817 NC Reference No. NCG01-2022-0177 Uses'count_numb& variable (incremented by SP) Certificate of NCC220177 Coverage (COC) No.* Uses'count_number' variable (incremented by SP) Count Number 177 Sequential number for submittal that is incremented by Stored Procedure COC Year 2022 Year of date reviewed (used to assign YY digits after "NCC" in COC no.) Initial Invoice No. NCC220177-2022 Invoice Due Date 2/6/2022 Initial Fee $ 100.00 Invoice Status OPEN